Prevalence of Undiagnosed Diabetes Mellitus and Associated Factors Among Adult Residents of Bahir Dar City, Northwest Ethiopia: a Community-based Cross-sectional Study

Overview

Journal BMJ Open

Specialty General Medicine

Date 2019 Nov 3

PMID 31676649

Citations 31

Authors

Getasew Mulat Bantie

Achenef Almaw Wondaye

Efrem Beru Arike

Mesfin Tenagne Melaku

Simegnew Tilaneh Ejigu

Abel Lule

Wondemagegn Mulu Lingerew

Koku Sisay Tamirat

Affiliations

Soon will be listed here.

Abstract

Objective: To assess the prevalence of undiagnosed diabetes mellitus (DM) and associated factors among adult inhabitants of Bahir Dar city, northwest Ethiopia.

Design: A community-based cross-sectional study was conducted on adults (n=607) of Bahir Dar city from 10 March to 20 May 2018.

Measurements: Data were collected using structured interviewer-administered questionnaire, and anthropometric measurements were taken from each participant. Fasting blood sugar (FBS) level was determined by samples taken early in the morning and readings of FBS≥126 mg/dL were classified as diabetes. The multivariate logistic regression model was fitted to identify the predictors of undiagnosed DM; adjusted OR (AOR) with a 95% CI was computed to assess the strength of associations.

Result: The study revealed that the prevalence of undiagnosed DM was 10.2% with 95% CI 7.9 to 12.9. Ever checked blood glucose level (AOR=1.91, 95% CI 1.03 to 3.51), don't know the symptoms of diabetes (AOR=2.06, 95% CI 1.08 to 3.89), family history of DM (AOR=2.5, 95% CI 1.21 to 5.18) and body mass index (BMI) ≥25 kg/m (AOR=1.98, 95% CI 1.09 to 3.60) were factors associated with undiagnosed DM.

Conclusion: The magnitude of undiagnosed diabetes was high. Family history of DM, ever checked blood glucose level, don't know about the symptoms of diabetes and overweight BMI were predictors of undiagnosed DM. Hence, screening and treatment are mandatory for high-risk groups. In addition, this study suggests frequent screening for those with family history and awareness creating about the disease for early detection and treatment.

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References

Ursini F, Russo E, DAngelo S, Arturi F, Letizia Hribal M, DAntona L . Prevalence of Undiagnosed Diabetes in Rheumatoid Arthritis: an OGTT Study. Medicine (Baltimore). 2016; 95(7):e2552. PMC: 4998599. DOI: 10.1097/MD.0000000000002552. View

Hall V, Thomsen R, Henriksen O, Lohse N . Diabetes in Sub Saharan Africa 1999-2011: epidemiology and public health implications. A systematic review. BMC Public Health. 2011; 11:564. PMC: 3156766. DOI: 10.1186/1471-2458-11-564. View

Aynalem S, Zeleke A . Prevalence of Diabetes Mellitus and Its Risk Factors among Individuals Aged 15 Years and Above in Mizan-Aman Town, Southwest Ethiopia, 2016: A Cross Sectional Study. Int J Endocrinol. 2018; 2018:9317987. PMC: 5944196. DOI: 10.1155/2018/9317987. View

Guariguata L, Whiting D, Hambleton I, Beagley J, Linnenkamp U, Shaw J . Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014; 103(2):137-49. DOI: 10.1016/j.diabres.2013.11.002. View

Bener A, Zirie M, Janahi I, Al-Hamaq A, Musallam M, Wareham N . Prevalence of diagnosed and undiagnosed diabetes mellitus and its risk factors in a population-based study of Qatar. Diabetes Res Clin Pract. 2009; 84(1):99-106. DOI: 10.1016/j.diabres.2009.02.003. View

Hadaegh F, Bozorgmanesh M, Ghasemi A, Harati H, Saadat N, Azizi F . High prevalence of undiagnosed diabetes and abnormal glucose tolerance in the Iranian urban population: Tehran Lipid and Glucose Study. BMC Public Health. 2008; 8:176. PMC: 2413226. DOI: 10.1186/1471-2458-8-176. View

Wondemagegn A, Bizuayehu H, Abie D, Ayalneh G, Tiruye T, Tessema M . Undiagnosed Diabetes Mellitus and Related Factors in East Gojjam (NW Ethiopia) in 2016: A Community-Based Study. J Public Health Res. 2017; 6(1):834. PMC: 5402184. DOI: 10.4081/jphr.2017.834. View

Holm N, Belstrom D, Ostergaard J, Schou S, Holmstrup P, Grauballe M . Identification of Individuals With Undiagnosed Diabetes and Pre-Diabetes in a Danish Cohort Attending Dental Treatment. J Periodontol. 2016; 87(4):395-402. DOI: 10.1902/jop.2016.150266. View

Leong A, Dasgupta K, Chiasson J, Rahme E . Estimating the population prevalence of diagnosed and undiagnosed diabetes. Diabetes Care. 2013; 36(10):3002-8. PMC: 3781536. DOI: 10.2337/dc12-2543. View

10.

Rathmann W, Haastert B, Icks A, Lowel H, Meisinger C, Holle R . High prevalence of undiagnosed diabetes mellitus in Southern Germany: target populations for efficient screening. The KORA survey 2000. Diabetologia. 2003; 46(2):182-9. DOI: 10.1007/s00125-002-1025-0. View

11.

Worede A, Alemu S, Gelaw Y, Abebe M . The prevalence of impaired fasting glucose and undiagnosed diabetes mellitus and associated risk factors among adults living in a rural Koladiba town, northwest Ethiopia. BMC Res Notes. 2017; 10(1):251. PMC: 5501367. DOI: 10.1186/s13104-017-2571-3. View

12.

Tesfaye T, Shikur B, Shimels T, Firdu N . Prevalence and factors associated with diabetes mellitus and impaired fasting glucose level among members of federal police commission residing in Addis Ababa, Ethiopia. BMC Endocr Disord. 2016; 16(1):68. PMC: 5126814. DOI: 10.1186/s12902-016-0150-6. View

13.

. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4.4 million participants. Lancet. 2016; 387(10027):1513-1530. PMC: 5081106. DOI: 10.1016/S0140-6736(16)00618-8. View

14.

Asmelash D, Asmelash Y . The Burden of Undiagnosed Diabetes Mellitus in Adult African Population: A Systematic Review and Meta-Analysis. J Diabetes Res. 2019; 2019:4134937. PMC: 6512017. DOI: 10.1155/2019/4134937. View

15.

Skeldon S, Detsky A, Goldenberg S, Law M . Erectile Dysfunction and Undiagnosed Diabetes, Hypertension, and Hypercholesterolemia. Ann Fam Med. 2015; 13(4):331-5. PMC: 4508173. DOI: 10.1370/afm.1816. View

16.

Koo B, Lee C, Yang B, Hwang S, Choi N . The incidence and prevalence of diabetes mellitus and related atherosclerotic complications in Korea: a National Health Insurance Database Study. PLoS One. 2014; 9(10):e110650. PMC: 4199756. DOI: 10.1371/journal.pone.0110650. View

17.

Kassahun C, Mekonen A . Knowledge, attitude, practices and their associated factors towards diabetes mellitus among non diabetes community members of Bale Zone administrative towns, South East Ethiopia. A cross-sectional study. PLoS One. 2017; 12(2):e0170040. PMC: 5289457. DOI: 10.1371/journal.pone.0170040. View